19,298 results match your criteria dehiscence

The "Three on a Stick" Incision-A Curvilinear Solution for the Occipital and Suboccipital Region.

Oper Neurosurg (Hagerstown) 2021 Jul 31. Epub 2021 Jul 31.

Division of Neurosurgery, Schneider Children's Medical Center of Israel, Clalit Health System, Petah Tikva, Israel.

Background: Different conditions of the posterior fossa such as Chiari malformations, tumors, and arachnoid cysts require surgery through a suboccipital approach, for which a typical midline vertical linear incision is used. Curvilinear incisions have been carried in all other scalp regions other than the sub region for better cosmetic outcomes; a vertical curvilinear incision in the occipital and suboccipital region has not been reported.

Objective: To evaluate the cosmetic value and safety of the "3 on a stick" vertical suboccipital curvilinear incision. Read More

View Article and Full-Text PDF

Short term complications in mesh augmented vaginal repair of pelvic organ prolapse are not higher when compared with native tissue repair.

Int Urogynecol J 2021 Jul 30. Epub 2021 Jul 30.

Department of Obstetrics and Gynecology, Division of Urogynecology and Pelvic Reconstructive Surgery, The Ottawa Hospital, Ottawa, ON, Canada.

Introduction And Hypothesis: Accumulating evidence regarding the negative long-term consequences of transvaginal mesh-based procedures for pelvic organ prolapse has led to a sharp decline in mesh-based procedures. We aimed to evaluate the short-term complications of mesh-based procedures for carefully selected patients with pelvic organ prolapse after Food and Drug Administration warnings.

Methods: A retrospective database review of the ACS NSQIP database was completed to examine 30-day complications including re-operation, prolonged length of stay, blood transfusion, surgical site infection, urinary tract infection, readmission and wound dehiscence in mesh-augmented and native tissue-based transvaginal procedures for pelvic organ prolapse. Read More

View Article and Full-Text PDF

Outcomes of the keystone perforator island flap for oncologic reconstruction of the back.

J Surg Oncol 2021 Jul 29. Epub 2021 Jul 29.

Division of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, Minnesota, USA.

Background: Coverage of posterior trunk defects after tumor resection can be challenging due to the intricate anatomy. The keystone perforator island flap (KPIF) provides coverage of the defect without the need for distant flap coverage or microsurgery, matches the recipient's skin color and contour, and requires a short operative time.

Methods: A retrospective review of all oncological back reconstructions with KPIF was performed at our institution. Read More

View Article and Full-Text PDF

Urinary bladder augmentation with acellular biologic scaffold-A preclinical study in a large animal model.

J Biomed Mater Res B Appl Biomater 2021 Jul 29. Epub 2021 Jul 29.

Chair of Urology and Andrology, Department of Regenerative Medicine, Cell and Tissue Bank, Nicolaus Copernicus University in Torun, Ludwik Rydygier Medical College in Bydgoszcz, Bydgoszcz, Poland.

Current strategies in urinary bladder augmentation include use of gastrointestinal segments, however, the technique is associated with inevitable complications. An acellular biologic scaffold seems to be a promising option for urinary bladder augmentation. The aim of this study was to evaluate the utility of bladder acellular matrix (BAM) for reconstruction of clinically significant large urinary bladder wall defects in a long-term porcine model. Read More

View Article and Full-Text PDF

[Nutrition in the prevention and healing of chronic wounds. Importance in improving the diabetic foot].

Nutr Hosp 2021 Jul 29. Epub 2021 Jul 29.

Departamento de Nutrición. Facultad de Farmacia. Universidad Complutense de Madrid.

Nutrition plays an essential role in chronic wound healing as extra nutrients are needed for tissue repair and to restore losses through wound exudate. Insufficient intake of energy, protein, antioxidants (vitamin C, A, and zinc) and vitamin D are common in patients with chronic wounds and have been linked to delayed wound healing and dehiscence. Other risk factors such as obesity, diabetes, advanced age, corticosteroid use, and dehydration can also reduce or impede the healing process, and nutritional screening is important to identify patients with malnutrition. Read More

View Article and Full-Text PDF

Blast Wound Dehiscence During Descemet Membrane Endothelial Keratoplasty Rebubbling in a Previous Penetrating Keratoplasty: A Case Report.

Cornea 2021 Jul 28. Epub 2021 Jul 28.

The Royal Liverpool University Hospital, Liverpool, United Kingdom; Department of Clinical Science and Translational Medicine, University of Rome Tor Vergata, Rome, Italy; Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy; Department of Neurological and Vision Sciences, Eye Clinic, University of Brescia, Brescia, Italy; Department of Eye and Vision Science, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, United Kingdom; and Instituto Universitario Fernandez-Vega, Universidad de Oviedo and Fundacion de Investigacion Oftalmologica, Oviedo, Spain.

Purpose: The purpose of this study was to describe a rare complication of Descemet membrane endothelial keratoplasty (DMEK) rebubbling.

Methods: An 86-year-old woman with bilateral penetrating keratoplasty (PK) performed 20 years previously for Fuchs endothelial dystrophy underwent DMEK surgery for endothelial corneal decompensation in the left eye. Surgery was complicated in the postoperative period by repeated DMEK graft detachments requiring rebubbling. Read More

View Article and Full-Text PDF

Closing the gap: evidence-based surgical treatment of rectus diastasis associated with abdominal wall hernias.

Hernia 2021 Jul 28. Epub 2021 Jul 28.

Department of Plastic and Reconstructive Surgery, Ohio State University Wexner Medical Center, 915 Olentangy River Road, Suite 2100, Columbus, OH, 43212, USA.

Purpose: Rectus diastasis (RD) associated with abdominal hernias present a surgical challenge associated with a paucity in treatment guidelines. The objective of this systematic review is to review surgical techniques and assess complication and recurrence rates of RD in patients with concurrent abdominal hernias.

Methods: PubMed and EMBASE databases were systematically searched, and data extraction was performed on articles which met the inclusion criteria. Read More

View Article and Full-Text PDF

Dense Polytetrafluoroethylene Membrane versus Titanium Mesh in Vertical Ridge Augmentation: Clinical and Histological Results of a Split-mouth Prospective Study.

J Contemp Dent Pract 2021 May 1;22(5):465-472. Epub 2021 May 1.

Department of Periodontology, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy.

Aim And Objective: The aim of the present split-mouth prospective study was to evaluate clinically and histologically the bone regeneration obtained following preprosthetic vertical bone augmentation performed with titanium-reinforced dense polytetrafluoroethylene membrane (d-PM) compared to titanium mesh (TM).

Materials And Methods: Healthy adult patients presenting with bilateral partial edentulism in the posterior mandible requiring vertical ridge augmentation for implant placement purposes were consecutively included. One side of the mandible was randomly assigned to the use of d-PM, the other to TM. Read More

View Article and Full-Text PDF

Wound dehiscence with nintedanib after cardiac surgery: A cautionary tale.

JTCVS Tech 2021 Apr 2;6:99-101. Epub 2020 Nov 2.

Department of Cardiothoracic Surgery, St Vincent's Hospital, Melbourne, Australia.

View Article and Full-Text PDF

High Definition Lipoplasty in Male Patients: A Systematic Review of Surgical Techniques and Outcomes.

Aesthet Surg J 2021 Jul 26. Epub 2021 Jul 26.

Division of Plastic and Reconstructive Surgery, Strong Memorial Hospital, University of Rochester Medical Center, Rochester, NY.

Background: Lipoplasty has undergone a series of refinements throughout history. It is now possible to apply superficial suction to enhance the outline of a muscle in order to improve the results of aesthetic lipoplasty.

Objectives: Herein, we aimed to summarize the available evidence on the techniques and surgical outcomes of high definition lipoplasty (HDL) in male patients. Read More

View Article and Full-Text PDF

The Effect of Degree of Temporal Bone Pneumatization on Sound Transmission of Pulsatile Tinnitus Induced by Sigmoid Sinus Diverticulum and/or Dehiscence: A Clinical and Experimental Study.

J Int Adv Otol 2021 Jul;17(4):319-324

Department of Radiology, Capital Medical University, Beijing Tongren Hospital, Beijing, China.

Background: Although many studies have suggested that air cells may play an important role in sigmoid sinus diverticulum and/or dehiscence (SSDD)-induced pulsatile tinnitus (PT), the exact effects remain unclear. This study aims to quantitatively investigate the effect of different degrees of pneumatization of temporal bone on sound transmission from the sigmoid sinus to the tympanic cavity.

Methods: In the clinical study, 25 patients were enrolled to measure the sound intensity and frequency of SSDD-induced PT. Read More

View Article and Full-Text PDF

Uterine dehiscence in pregnant with previous caesarean delivery.

Ann Med 2021 Dec;53(1):1265-1269

Medical Administrative Department, Zhengzhou University Third Hospital and Henan Province Women and Children's Hospital, Zhengzhou, China.

Background: The main risk factor for uterine scar dehiscence is a previous caesarean section. Better characterisation of the ultrasonographic features of uterine scar dehiscence may improve preoperative diagnostic accuracy in pregnant women with a caesarean scar. This study aimed to evaluate the ultrasonographic features of uterine scar dehiscence in pregnant women and maternal and neonatal outcomes. Read More

View Article and Full-Text PDF
December 2021

Extension toward the Trapezius in a Transversely Oriented Latissimus Dorsi Flap for Breast Reconstruction.

Plast Reconstr Surg Glob Open 2021 Jul 21;9(7):e3695. Epub 2021 Jul 21.

Department of Breast Surgery, Kyoto City Hospital, Kyoto, Japan.

A transverse paddle latissimus dorsi (LD) flap has the advantage that if the skin paddle is placed in the transverse bra line, the donor site scar is well hidden by underwear. With this transfer, medial back tissues are usually moved to the medial area of the reconstructed breast following 180 degree rotation. Because these tissues are thinner than the lateral thoracic area, the medial part of the reconstructed breast sometimes becomes flatter than expected. Read More

View Article and Full-Text PDF

Concomitant treatment of superior semicircular canal and tegmen dehiscence by transmastoid approach (with video).

Eur Ann Otorhinolaryngol Head Neck Dis 2021 Jul 22. Epub 2021 Jul 22.

Service d'ORL, otoneurologie et ORL pédiatrique, CHU Toulouse Purpan, Toulouse cedex 9, France; Brain & Cognition Research Centre, UMR 5549, Université Toulouse III, Toulouse, France. Electronic address:

View Article and Full-Text PDF

Partial primary closure in sacrococcygeal pilonidal sinus: Modified with suture technique.

Abdullah Yildiz

Asian J Surg 2021 Jul 21. Epub 2021 Jul 21.

Department of General Surgery, University of Health Sciences Umraniye Training and Research Hospital, İstanbul, Turkey. Electronic address:

Aim And Background: The primary purpose of pilonidal sinus treatment is to minimize complications, accelerate wound healing, and minimize recurrence. However, invasive and minimally invasive methods are being developed to reduce these problems. Early and late postoperative complications remain significant problems in pilonidal surgery. Read More

View Article and Full-Text PDF

Stapled VTEP (sVTEP), diastasis and the "swollen abdomen".

Surg Endosc 2021 Jul 23. Epub 2021 Jul 23.

Institut de La Hernie, 15 Rue du Cirque, 75008, Paris, France.

Background: In the VTEP series, some patients declared that their abdomen was "somewhat swollen", and the authors suggested that this might be related to disruption of the posterior sheath due to the crossing. Following this observation, we decided to evaluate the systematic repair of the posterior sheath.

Methods: In 50 consecutive patients operated for ventral hernias, the VTEP procedure was modified, using the linear stapler to perform simultaneous division and closure of the posterior sheath. Read More

View Article and Full-Text PDF

Portal pneumatosis in a patient with severe Salmonella colitis.

Rev Esp Enferm Dig 2021 Jul 23. Epub 2021 Jul 23.

Cirugía General y del Aparato Digestivo, Hospital Universitari Arnau de Vilanova, España.

65-year-old patient with a history of ischemic stroke with residual ophthalmoparesis, positive in fecal occult blood screening, pending colonoscopy, who attended the emergency room due to 3 days with pain, abdominal distension and diarrhea. In the emergency room, he presented with diffuse abdominal pain, hemodynamic instability with acute renal failure and metabolic acidosis, with severe elevation of acute phase reactants. Abdominal fluid resuscitation and CT (computed tomography) were performed, which reported dilatation of the loops of the small intestine to the distal ileum with thickening of the wall of the right colon and gas, dissecting intrahepatic portal branches and splanchnic veins. Read More

View Article and Full-Text PDF

Angularis oris axial pattern flap as a reliable and versatile option for rostral facial reconstruction in cats.

Vet Surg 2021 Jul 22. Epub 2021 Jul 22.

School of Veterinary Medicine and Animal Science, São Paulo State University, Botucatu, Brazil.

Objective: To evaluate outcomes associated with the use of an angularis oris axial pattern flap (AOAPF) for rostral facial reconstruction in cats.

Animals: Nine adult client-owned cats.

Study Design: Short case series. Read More

View Article and Full-Text PDF

Outcome of abdominal binder in midline abdominal wound Dehiscence in terms of pain, psychological satisfaction and need for reclosure.

Pak J Med Sci 2021 Jul-Aug;37(4):1118-1121

Dr. Ahmed Raza Noumani, MBBS, MS General Surgery Senior Registrar, EAST Surgical Ward, Mayo Hospital, Lahore, Pakistan.

Objective: To assess the role of abdominal binder in patients with midline wound dehiscence after elective or emergency laparotomy in terms of pain, psychological satisfaction and need for reclosure.

Methods: It was a comparative study done at EAST Surgical Ward of Mayo Hospital, Lahore from 1 January 2018 to 31 December 2019. One hundred and sixty-two (162) patients were included in this study with post-operative midline abdominal wound dehiscence and after informed consent by consecutive non probability sampling technique. Read More

View Article and Full-Text PDF
September 2020

Prophylactic subcutaneous retention sutures in the prevention of superficial wound separation of midline laparotomy.

Int J Gynecol Cancer 2021 Jul 21. Epub 2021 Jul 21.

Department of Gynecology and Obstetrics, Antalya Training and Research Hospital, Antalya, Turkey.

Objectives: This prospective study aimed to determine the effectiveness of prophylactic subcutaneous retention sutures in the prevention of superficial wound separation in women with a confirmed or suspected cancer who had gynecological surgery by midline laparotomy.

Methods: This was a non-randomized, controlled intervention study including patients who underwent cancer surgery between May 2018 and August 2019. Patients who underwent midline laparotomy with confirmed or suspected cancer were included and patients who had an early post-operative complication or who underwent surgery again before the removal of stitches were excluded. Read More

View Article and Full-Text PDF

Is It Possible to Save the Deep Brain Stimulation Hardware when Presenting with Wound Dehiscence or Hardware Infection?

Stereotact Funct Neurosurg 2021 Jul 21:1-10. Epub 2021 Jul 21.

Department of Neurosurgery, Rutgers-Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.

Introduction: Deep brain stimulation (DBS) hardware complications have been traditionally managed by removal of the entire system. Explantation of the system results in prolonged interruption to the patient's care and potential challenges when considering reimplantation of the cranial leads. The purpose of this study was to understand whether complete explantation can be avoided for patients initially presenting with wound dehiscence and/or infection of hardware. Read More

View Article and Full-Text PDF

Post-bariatric body contouring surgery: analysis of complications in 180 consecutive patients.

Rev Col Bras Cir 2021 19;48:e20202638. Epub 2021 Jul 19.

- Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Divisão de Cirurgia Plástica - São Paulo - SP - Brasil.

Introduction: bariatric surgery is the main treatment for cases of severe obesity and body contour surgery to correct body dysmorphia resulting from weight loss. However, these procedures are associated with a significant number of postoperative complications.

Objective: this study aims to analyze complications in post-bariatric patients undergoing body contour surgeries and correlating them with the age and BMI of these patients. Read More

View Article and Full-Text PDF

Rhomboid flap: Indications, applications, techniques and results. A comprehensive review.

Ann Med Surg (Lond) 2021 Aug 7;68:102544. Epub 2021 Jul 7.

Geisel Dartmouth Medical School, Hanover, NH, 03755, USA.

Cutaneous defects may result from trauma, infection, chronic illness, poor healing, or surgical resections. Traditionally, the concept of the reconstructive ladder suggests that primary closure and skin grafting should be considered first in reconstruction of such defects. However, these techniques may lead to increased likelihood of dehiscence, distortion of key structures, poor cosmetic outcomes, and less-than-total graft acceptance. Read More

View Article and Full-Text PDF

Vaginal Complications after Radical Cystectomy for Bladder Cancer: A Systematic Review.

Urology 2021 Jul 17. Epub 2021 Jul 17.

Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine.

Objectives: To summarize the published literature regarding pelvic organ prolapse, dehiscence or evisceration, vaginal fistula, and dyspareunia after radical cystectomy and to describe the management approaches used to treat these conditions.

Methods: Ovid MEDLINE, Ovid EMBASE, and Web of Science were systematically searched from January 1, 2001 to January 25, 2021 using a combination of search terms for bladder cancer and radical cystectomy with terms for four categories of vaginal complications (prolapse, fistula, evisceration/dehiscence, and dyspareunia). A total of 229 publications were identified, the final review included 28 publications. Read More

View Article and Full-Text PDF

Long-term clinical outcome of dental implants: A retrospective clinical study with a minimum follow-up between 9.5 and 17.7 years.

J Biol Regul Homeost Agents 2021 Mar-Apr;35(2 Suppl. 1):37-51

University of Milano, Department of Biomedical, Surgical and Dental Sciences, Milan, Italy.

The aim of this retrospective case series was to evaluate the clinical and radiographic outcomes of the patients that underwent implant surgery in all indication classes, with a follow-up of at least 9 years. 121 healthy patients in need for oral rehabilitation with dental implants were included in this study. 196 implants (160 conical, 73 cylindric design implants) were inserted. Read More

View Article and Full-Text PDF

Plastic surgery wound closure following resection of spinal metastases.

Clin Neurol Neurosurg 2021 Jul 9;207:106800. Epub 2021 Jul 9.

Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA; Department of Neurosurgery, Zucker School of Medicine at Hofstra, Long Island Jewish Medical Center and North Shore University Hospital, Northwell Health, Manhasset, NY 11030, USA. Electronic address:

Objective: Surgical site infection and dehiscence are devastating complications of surgery for spinal metastases. Wound closure involving plastic surgeons has been proposed as a strategy to lower post-operative complications. Here we investigated whether plastic surgery closure is associated with lower rates of wound complications, wound infection, and wound reoperation compared to simple closure by spine surgeons. Read More

View Article and Full-Text PDF

Angioid Streaks in Pseudoxanthoma Elasticum.

Cureus 2021 Jun 17;13(6):e15720. Epub 2021 Jun 17.

College of Medicine, Umm Al-Qura University, Mecca, SAU.

Pseudoxanthoma elasticum, or Gronblad-Strandberg syndrome, is an inherited disorder that involves multiple organ systems. The characteristic degeneration and calcification of the elastic fibers caused by this disease were first observed by Ferdinand Jean Darrier in 1896. We report a case of a 27-year-old female who was diagnosed with pseudoxanthoma elasticum based on a skin biopsy prior to her presentation to our ophthalmology outpatient clinic. Read More

View Article and Full-Text PDF

Effectiveness of Invisalign aligners in the treatment of severe gingival recession: A case report.

Korean J Orthod 2021 Jul;51(4):293-300

Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Sao Paulo, Brazil.

In this report, we demonstrate the effectiveness of the Invisalign system in the treatment of severe gingival recession and bone dehiscence through torque, translation, and intrusion movements in a young woman. Cone-beam computed tomography was used to assess bone parameters and check the teeth during treatment. The root of the mandibular right central incisor, which was buccally positioned and exhibited bone dehiscence of 9. Read More

View Article and Full-Text PDF

Replacement of the lower eyelid after tumor removal

Orv Hetil 2021 07 18;162(29):1180-1184. Epub 2021 Jul 18.

1 Debreceni Egyetem, Kenézy Gyula Egyetemi Kórház, Szemészeti Osztály, Debrecen, Bartók Béla u. 2-26., 4031.

Összefoglaló. Bevezetés: A tumoreltávolítás miatt végzett teljes alsószemhéj-pótlás összetett feladat lehet. A rekonstrukció célja a kielégítő funkcionális és kozmetikai eredmény elérése. Read More

View Article and Full-Text PDF

The impact of closed incisional negative pressure therapy on anterior lateral thigh flap donor site healing and scarring: A retrospective case-control study.

J Plast Reconstr Aesthet Surg 2021 Jun 13. Epub 2021 Jun 13.

Department of Hand, Plastic and Reconstructive Surgery, Burn Center, BG Trauma Center Ludwigshafen, Ludwig-Guttmann-Strasse 13, 67071 Ludwigshafen, Germany; Hand and Plastic Surgery, University of Heidelberg, Heidelberg, Germany. Electronic address:

Background: The objective of this study was to investigate whether closed incisional negative pressure therapy (cINPT) is suitable to improve anterior lateral thigh (ALT) flap donor site healing and scarring.

Methods: We identified 271 ALT free flaps of widths between 7 and 9 cm and primary donor site closure performed between January 2012 to December 2019. Patients were divided into cases of cINPT versus controls without cINPT as part of this retrospective case-control review. Read More

View Article and Full-Text PDF